Individual
AVERY VILLERET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PARK CREEK DR, COLUMBUS, MS 39705-1309
(662) 327-8410
(662) 327-9749
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-4951
MS
Other
Enumeration date
03/27/2023
Last updated
12/20/2024
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